This page is part of the CARIN Blue Button Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions
CodeSystem: CARIN-BB-Adjudication-Category
CARIN Blue Button Claim Adjudication Category Code System
This code system http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory defines the following codes:
Code | Display | Definition |
benefitPaymentStatusCode | Benefit payment status code | Benefit payment status code |
paymentDenialCode | Payment denial code | Payment Denial Code |
submittedamount | submitted amount | |
allowedamount | allowed amount | |
deductibleamount | deductible amount | |
coinsuranceamount | coinsurance amount | |
copayamount | copay amount | |
noncoveredamount | noncovered amount | |
cobamount | cob amount | |
paymentamount | payment amount | |
patientpayamount | patient pay amount | |
denialreason | payment denial reason | |
innetworkbenefitpaymentstatus | in network benefit payment status | |
outofnetworkbenefitpaymentstatus | out of network benefit payment status | |
otherbenefitpaymentstatus | other benefit payment status | |
allowedunits | allowed units | |